HCA Healthcare [HCA] vs Ensign Group [ENSG] Detailed Stock Comparison

HCA Healthcare Inc.

NYSE
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Ensign Group, Inc.

NASDAQ
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TLDR: Quick Comparison Summary

Based on 21 vital metrics comparison: HCA Healthcare Inc. wins in 17 metrics, Ensign Group, Inc. wins in 4 metrics, with 0 ties. HCA Healthcare Inc. appears stronger overall.

View Metrics Details

Vital Metrics Comparison

Metric HCA Healthcare Inc. Ensign Group, Inc. Better
P/E Ratio (TTM) 16.86 32.78 HCA Healthcare Inc.
Price-to-Book Ratio -38.44 4.95 Ensign Group, Inc.
Debt-to-Equity Ratio -17.57 98.70 Ensign Group, Inc.
PEG Ratio 0.37 1.76 HCA Healthcare Inc.
EV/EBITDA 10.08 24.01 HCA Healthcare Inc.
Profit Margin (TTM) 8.97% 6.80% HCA Healthcare Inc.
Operating Margin (TTM) 16.29% 9.10% HCA Healthcare Inc.
EBITDA Margin (TTM) 16.29% 9.10% HCA Healthcare Inc.
Return on Equity -244.82% 16.90% Ensign Group, Inc.
Return on Assets (TTM) 12.44% 5.25% HCA Healthcare Inc.
Free Cash Flow (TTM) $7.69B $370.71M HCA Healthcare Inc.
Dividend Yield 0.59% 0.16% HCA Healthcare Inc.
1-Year Return 4.31% -1.24% HCA Healthcare Inc.
Price-to-Sales Ratio (TTM) 1.39 2.21 HCA Healthcare Inc.
Enterprise Value $156.18B $12.70B HCA Healthcare Inc.
EV/Revenue Ratio 2.07 2.51 HCA Healthcare Inc.
Gross Profit Margin (TTM) 41.90% 16.34% HCA Healthcare Inc.
Revenue per Share (TTM) $320 $88 HCA Healthcare Inc.
Earnings per Share (Diluted) $27.94 $5.85 HCA Healthcare Inc.
Beta (Stock Volatility) 1.37 0.82 Ensign Group, Inc.
Short % of Float 2.45% 2.93% HCA Healthcare Inc.

HCA Healthcare Inc. vs Ensign Group, Inc. Stock Performance Analysis

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HCA
ENSG

Performance Comparison

Short-term Returns

Stock1D1W1M3M6MYTD
HCA Healthcare Inc.0.72%7.93%-7.81%-25.75%-18.24%-17.10%
Ensign Group, Inc.0.90%-3.65%-15.17%-28.05%-14.90%-13.35%

Long-term Returns

Stock1Y3Y5Y10Y15Y20Y
HCA Healthcare Inc.4.31%33.47%92.28%400.04%1,019.34%1,144.15%
Ensign Group, Inc.-1.24%57.98%79.14%733.07%1,721.59%3,525.49%

Performance & Financial Health Analysis: HCA Healthcare Inc. vs Ensign Group, Inc.

MetricHCAENSG
Market Information
Market Cap i$106.00B$11.06B
Market Cap CategoryLarge capLarge cap
10 Day Avg. Volume i795,641313,976
90 Day Avg. Volume i974,074348,765
Last Close$389.97$150.71
52 Week Range$330.00 - $556.52$134.79 - $218.00
% from 52W High-29.93%-30.87%
All-Time High$556.52 (Mar 12, 2026)$218.00 (Mar 02, 2026)
% from All-Time High-29.93%-30.87%
Growth Metrics
Quarterly Revenue Growth0.07%0.20%
Quarterly Earnings Growth0.31%0.20%
Financial Health
Profit Margin (TTM) i0.09%0.07%
Operating Margin (TTM) i0.16%0.09%
Return on Equity (TTM) i-2.45%0.17%
Debt to Equity (MRQ) i-17.5798.70
Cash & Liquidity
Book Value per Share (MRQ)$-26.83$38.71
Cash per Share (MRQ)$5.11$9.92
Operating Cash Flow (TTM) i$12.64B$564.27M
Levered Free Cash Flow (TTM) i$5.82B$281.25M
Dividends
Last 12-Month Dividend Yield i0.59%0.16%
Last 12-Month Dividend i$2.94$0.32

Valuation & Enterprise Metrics Analysis: HCA Healthcare Inc. vs Ensign Group, Inc.

MetricHCA (Apr 23, 2026)ENSG (Apr 24, 2026)
Price Ratios
P/E Ratio (TTM) i16.8632.78
Forward P/E i14.1323.27
PEG Ratio i0.371.76
Price to Sales (TTM) i1.392.21
Price to Book (MRQ) i-38.444.95
Market Capitalization
Market Capitalization i$106.00B$11.06B
Enterprise Value i$156.18B$12.70B
Enterprise Value Metrics
Enterprise to Revenue i2.072.51
Enterprise to EBITDA i10.0824.01
Risk & Other Metrics
Beta i1.370.82
Book Value per Share (MRQ) i$-26.83$38.71

Financial Statements Comparison: HCA Healthcare Inc. vs Ensign Group, Inc.

Financial Metrics

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Revenue

Operating Margin

Profit Margin

Long Term Debt

Income Flow Analysis

Financial Statements Comparison

Income Statement

MetricHCA (2025)ENSG (2025)
Revenue/Sales i75.60B5.06B
Cost of Goods Sold i44.23B4.26B
COGS % of Revenue i58.5%84.2%
Gross Profit i31.37B799.45M
Gross Margin i41.5%15.8%
Research & Development iN/AN/A
Operating Income (EBIT) i11.97B425.31M
Operating Margin i15.8%8.4%
EBITDA i15.57B567.94M
EBITDA Margin i20.6%11.2%
Pre-Tax Income i9.83B455.62M
Pre-Tax Income % of Revenue i13.0%9.0%
Income Tax i2.05B111.36M
Income Tax % of Revenue i2.7%2.2%
Net Income (Profit) i7.78B344.26M
Profit Margin i10.3%6.8%

Balance Sheet & Liquidity Metrics

MetricHCA (2025)ENSG (2025)
Cash & Equivalents i1.04B503.88M
Total Current Assets i15.78B1.27B
Total Current Assets % of Revenue i20.9%25.2%
Total Current Liabilities i16.35B894.35M
Total Current Liabilities % of Revenue i21.6%17.7%
Long-Term Debt i43.46B2.09B
Long-Term Debt % of Revenue i57.5%41.3%
Total Shareholders Equity i-2.77B2.23B
Retained Earnings i-5.72B1.76B
Retained Earnings % of Revenue i-7.6%34.7%
Property, Plant & Equipment i39.12B2.58B

Cash Flow Statement Comparison

MetricHCA (2025)ENSG (2025)
Operating Cash Flow i12.01B409.74M
Operating Cash Flow % of Revenue i15.9%8.1%
Capital Expenditures i-4.94B-193.56M
Free Cash Flow i7.69B370.71M
FCF Margin i10.2%7.3%
Debt Repayment i-7.39B-4.09M
Common Stock Repurchase i-10.07B-21.43M

Short Interest & Institutional Ownership Analysis

MetricHCAENSG
Shares Short i3.63M1.44M
Short Ratio i3.374.15
Short % of Float i2.45%2.93%
Shares Outstanding i224.61M58.09M
Float Shares i151.19M55.59M
% Held by Insiders i16.16%3.54%
% Held by Institutions i78.70%93.84%
% Held by Public i5.14%2.62%

Dividend Analysis & Yield Comparison: HCA Healthcare Inc. vs Ensign Group, Inc.

MetricHCAENSG
Last 12-Month Dividend i$2.94$0.32
Last 12-Month Dividend Yield i0.59%0.16%
3-Year Avg Annual Dividend i$2.70$0.27
3-Year Avg Dividend Yield i0.19%0.05%
3-Year Total Dividends i$8.10$0.80
Ex-Dividend DateMar 17, 2026Mar 31, 2026